Scholarship Application

Have you read the Scholarship Program Requirements?
- Yes
- No
1. The GAHCCI Foundation, Inc. appoints an independent committee to evaluate applications and select the scholarship recipients. The committee's decision is final.
2. Applicants need to follow instructions to avoid disqualification of their application. Applicants found to have made false or misleading statements will be disqualified.
1. Name*
First Last
2. Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code
3. Cell Phone Number*
Email Address*
4. Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
- Prefer not to answer
Weighted Grade Point Average (GPA)*
Weighted for IP and Honor Roll classes.
Attach a copy of your most recent transcript that includes your GPA*
Attach a recommendation later from your teacher or counselor.*
6. Are you of Haitian Heritage*
- YES
- NO
** Haitian Heritage Defined: being of Haitian descent refers to descendants of Haiti’s inhabitants, whether they currently live in Haiti or have roots there through their ancestry. This connection can be through one or both parents who are ethnically Haitian regardless of the individual’s birthplace. People of Haitian descent might identify culturally, linguistically, and historically with Haiti, maintaining various traditions, practices, and the Haitian Creole or French languages. The Haitian diaspora spans the globe, contributing to various communities while maintaining a strong connection to their heritage.
7. Name and location of High School*
8(A):List any academic honors, awards and membership activities while in high school, and/or college.*
8(B): List your hobbies, interests, extracurricular and school-related volunteer activities*
8(C): List your non-school sponsored volunteer activities in the community*
8(D): Upload your resume and/or activities sheet*
8(E): Upload your picture ID*
Accepted file types: jpg, png, .
9(A). If you have decided on what college/university you will attend, please list the name:*
9(B). Include a pdf copy of acceptance Letter*
10(A). Career Goal:*
10(B). Relevant Internship or Work Experience:*
11. Are you or your parent or legal guardian born in Haiti or are of Haitian descent?*
- YES
- NO
If your answer is ‘yes’ please answer blocks A, B, C below.
12(A): His/her full name:*
Full Name
12(B): What city in Haiti are you or your parents from?*
12(C): What Haitian community or organization are you or your parents a part of?*
13. Name & address of parent(s) or legal guardian(s):*
(Include address if different than the one listed in Question 2.)

Street Address City State / Province / Region ZIP / Postal Code
13(A). Cell phone of parents or legal guardians*
13(B). Email address of parents or legal guardians*
14. Personal Essay Questions
14(A). How do you identify as someone of Haitian heritage?*
14(B). Choose one of the three question below, and answer it.*
Your answer for the question you chose
14(C). State your chosen field of study if you have one. If you do not have one, what are your interests or passions?*
15. When did you decide that you want to attend college?*
Phone
This field is for validation purposes and should be left unchanged.

14. Personal Essay Questions